Leanne M. Fortner
Controlled Substance Registration - Physician
Indiana 01055016B Active
This Indiana license is held by Leanne M. Fortner. The license is currently active. It was granted on 09/20/2001 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01055016B
- Category: CSR-Physician
- Status: Active
- Date Granted: 09/20/2001 (almost 25 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
13481 Dumbarton Street, Carmel IN 46032
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